检索结果-南通市图书馆

世界核心医学期刊文摘（神经病学分册） 2005年第4期1卷 30-31页

作者： Blau J.n. Engel H.O. 高中宝 City of London Migraine Clinic 22 Charterhouse Square LondonEC1M 6DX United Kingdom Dr.

Background. - Verapamil is currently the best available prophylactic drug for patients experiencing cluster headaches (CHs). Published papers usually state 240 to 480 mg taken in three divided doses give good results, ranging from 50% to 80% ; others mention higher doses - 720, even 1200 mg per day. In clinical practice we found we needed to adapt dosage to individual’ s time of attacks, in particular giving higher doses before going to bed to suppress severe nocturnal episodes. A few only required 120 mg daily. We therefore evolved a scheme for steady and progressive drug increase until satisfactory control had been achieved. Objective. - To find the minimum dose of verapamil required to prevent episodic and chronic cluster headaches by supervising each individual and adjusting the dosage accordingly. Methods. - Consecutive patients with episodic or chronic CH (satisfying International Headache Society (ihs) criteria) were started on verapamil 40 mg in the morning, 80 mg early afternoon, and 80 mg before going to bed. Patients kept a diary of all attacks, recording times of onset, duration, and severity. They were advised, verbally and in writing, to add 40 mg verapamil on alternate days, depending on their attack timing: with nocturnal episodes the first increase was the evening dose and next the afternoon one; when attacks occurred on or soon after waking, we advised setting an alarm clock 2 hours before the usual waking time and then taking the medication. Patients were followed- up at weekly intervals until attacks were controlled. They were also reviewed when a cluster period had ended, and advised to continue on the same dose for a further 2 weeks before starting systematic reduction. Chronic cluster patients were reviewed as often as necessary. Results. - Seventy consecutive patients, 52 with episodic CH during cluster periods and 18 with chronic CH, were all treated with verapamil as above. Complete relief from headaches was obtained in 49 (94% ) of 52 with

关键词：丛集性头痛维拉帕米头痛发作丙戊酸钠慢性患者临床实践时间调整舒马曲坦斯蒂文诊断标准

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

接受普萘洛尔治疗的婴幼儿血管瘤患儿认知功能的研究

引用

中国口腔颌面外科杂志 2017年第5期 421-421页

作者： González-Llorente n Del Olmo-Benito I Mu?oz-Ollero n 张凌

口服普萘洛尔已成为治疗婴幼儿血管瘤(ihs)的第一选择,但是,关于长期用药对患儿认知功能的影响尚不清楚。本研究旨在评估接受普萘洛尔治疗的婴幼儿血管瘤患儿认知功能的情况。23例年龄在5到7.5岁、接受过普萘洛尔治疗的儿童纳入研究。... 详细信息

口服普萘洛尔已成为治疗婴幼儿血管瘤(ihs)的第一选择,但是,关于长期用药对患儿认知功能的影响尚不清楚。本研究旨在评估接受普萘洛尔治疗的婴幼儿血管瘤患儿认知功能的情况。23例年龄在5到7.5岁、接受过普萘洛尔治疗的儿童纳入研究。采用韦氏学前儿童智力量表(WPPSI)、初级智力量表

关键词：婴幼儿血管瘤普萘洛尔认知功能

来源：

同方期刊数据库评论

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

青少年紧张型头痛和偏头痛的临床特征:一项基于学生的研究

引用

世界核心医学期刊文摘（神经病学分册） 2006年第9期2卷 55-55页

作者： Karli n. Akgz S. Zarifo■lu M. 周永 University of Uludag School of Medicine Department of Neurology 16059 Gorukle/Bursa Turkey

Background and objectives. -Adolescent headaches, particularly migraine, might present with different features from adult headaches. The objectives of this study were to investigate the characteristics of tension-type headache and migraine, to find the sensitivity and specificity of the diagnostic criteria of the ihs classification according to age and gender. Methods. -A multistep, stratified, cluster sampling method was used for subject selection. The estimated sample size was 2387. The study was conducted in two phases: the questionnaire and the face to face interview phases. During the semistructured interview, a clinical diagnosis has been made and clinical characteristics have been recorded. Results. -All headaches fulfilled the criteria of duration. The most common feature of migraine was moderate to severe (92.4%), pulsating pain (79.2%). For ETTH, bilateral localization (91.3%) and mild to moderate pain intensity (90.6%) were the most common features. Younger adolescents showed mixed headache characteristics. Highest sensitivities for migraine were duration (100%), moderate to severe pain (92.4%), and pulsating quality of pain (79.2%). Vomiting, trigger factors food and alcohol had a high specificity for migraine. Conclusions. -Our data strongly support continuum hypothesis. In early adolescence headaches might present with mixed headache characteristics. Age and gender have some influence on headache characteristics, particularly on migraine. The sensitivity and specificity of case definition criteria of ICHD-2 for adolescent migraine is moderate and need to be reconsidered.

关键词：发作性紧张型头痛偏头痛临床特征青少年分类诊断标准中重度疼痛学生半结构式访谈

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：